GHULAM MUSTAFA LLC

SHOW LOW, AZ
NPI1477061612
Entity TypeOrganization
Authorized ContactOSAF AHMED
Member
520-269-3473
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  29210)
Enumeration Date2018-01-22
Last Update Date2018-01-22
Business Address
GHULAM MUSTAFA LLC
2401 E HUNT DR
SHOW LOW, AZ 85901-7920
Phone number: 928-537-5333
Mailing Address
GHULAM MUSTAFA LLC
6989 N STARLIGHT RIDGE PKWY
LAKESIDE, AZ 85929-5086
Phone number: 520-269-3473
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